Who Is It For?

Pharm 5 Cardio pt1 Flashcards Preview

Why hypertension is bad in younger ppl:

: its effects last a long time. Avoiding sequelae (such as CHF) is a big goal of treating hypertension

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How does hypertension prevalence compare by gender and age?

A higher percentage of men than women have high BP until age 45.From ages 45 to 54, the proportions of men and women with high BP are similar.In the older age groups, more women than men have high BP, with prevalences reaching about 84% among women aged 75 or older and 70% in men in the same age category.

3

The JNC guidelines were developed in response to:

the implementation of the National High Blood Pressure Educational Program in 1972 to raise awareness of the prevalence of and need for treatment standards for patients with hypertension.

4

JNC7 has >__ drugs for Hypertension

125

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Hypertension-related Comorbidities (3)

Of people with BP >140/90 mm Hg:69% with first MI77% with first stroke74% with heart failurePrecedes heart failure in 91% of casesAssociated with a 2- to 3-times higher risk for heart failure

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The Prospective Studies Collaborationfound that the risk for vascular death for each decade of age was the same down to a usual systolic BP of at least __ mm Hg and a usual diastolic BP of at least __ mm Hg. Below those levels there was little evidence of an association.

Stages of Hypertension

Are stats on Hypertension surrogate data or outcomes data? What does that mean?

these patients are outcomes data. You can’t tell if a specific patient with BP 200/100 will have problems, just that the population with that BP has had problems.Surrogate data is something physical we can measure.

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3 most important risk factors that increase mortality associated with htn.

What's the next most important after that?

Age > 60 Gender: men, postmenopausal women Family history (things you can't change)Nest most important: smoking

only the systolic # is raised, diastolic is still normal.

Monotherapy for Hypertension (5 types)

What's the problem with alpha-blockers?

**Putting them on alpha blockers can make ppl very dizzy, and have syncopal episodes for first few days on the drug. They’ll get out of bed at 3am, have a syncopal episode and break their hip. Tell them how to carefully get up to prevent this from happening.